Individual provider Active NPI

Carly M Kempton, AUDIOLOGIST

  • Audiologist
  • Minneapolis, MN
National Provider Identifier
1275552879
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7920 Issued in MN
Practice address
516 Delaware St SE
8-100 PWB, MMC 283
Minneapolis, MN 55455-0356
Phone
(612) 626-6518
Fax
(612) 625-8901
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7920 MN Primary

Addresses

Primary practice location

516 Delaware St SE
8-100 PWB, MMC 283
Minneapolis, MN 55455-0356

Mailing address

516 Delaware St
8-100 PWB, MMC 283
Minneapolis, MN 55455
Phone (612) 626-6518

Other identifiers 1

IdentifierTypeStateIssuer
166905200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000181 MN Practitioner - Qualified Audiologist 9638194632 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
79.17
Promoting interoperability
100
Improvement activities
40
Cost
73.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7920MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Feb 29, 2016 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 10, 2024 Accepting new patients
Fairview Express Care CurrentSince Jan 7, 2024 Accepting new patients
Fairview Health Services CurrentSince Mar 25, 2013 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 10, 2024 Accepting new patients
Fairview Clinics CurrentSince Mar 25, 2013 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Feb 29, 2016 Accepting new patients

Locations

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

516 Delaware St SE
#8100
Minneapolis, MN 55455
Phone (612) 625-1689

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1275552879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DELAWARE ST",
            "address_2": "8-100 PWB, MMC 283",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-626-6518",
            "fax_number": "612-625-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DELAWARE ST SE",
            "address_2": "8-100 PWB, MMC 283",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550356",
            "telephone_number": "612-626-6518",
            "fax_number": "612-625-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTON",
        "first_name": "CARLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166905200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.